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Montegress Xl Tablet 10's
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INTRODUCTION
MONTEGRESS XL TABLET is a combination of Ambroxol, Levocetirizine and Montelukast which belong to a group of medicines called Mucolytics, Antihistamines and Leukotriene receptor antagonists respectively. It is used to treat chronic obstructive pulmonary disorder, asthma, allergic rhinitis and bronchitis.
Chronic obstructive pulmonary disorder is a chronic inflammatory lung disease that causes obstructed airflow from the lungs which is generally characterized by symptoms such as breathing difficulty, cough, mucus production and wheezing.
Asthma is a lung disease which causes airways to get narrow, swollen and blocked by excess mucus that is characterized by symptoms such as breathing difficulty, cough and wheezing.
Bronchitis is an infection of the main airways of the lungs (bronchi) that cause airways to become irritated and inflamed which is generally characterized by symptoms such as cough, production of mucus, weakness, shortness of breath and chest discomfort.
Avoid taking MONTEGRESS XL TABLET, if you are allergic to Ambroxol, Levocetirizine or Montelukast.
Before taking MONTEGRESS XL TABLET inform your doctor if you have hepatic impairment and kidney problems such as renal impairment.
MONTEGRESS XL TABLET should be used with caution during pregnancy only if it is clearly necessary. It is not recommended for use in breastfeeding women as it can pass through breast milk.
MONTEGRESS XL TABLET is not recommended for use in children and adolescents (below 15 years). Consult your doctor before taking MONTEGRESS XL TABLET.
The most common side effects of taking MONTEGRESS XL TABLET are sleeplessness, skin rash, vomiting, abdominal pain, excess sleepiness, common cold and weakness. Consult your doctor if any of these above side effects gets worse.
USES OF MONTEGRESS XL TABLET
It is used to treat:
- Chronic obstructive pulmonary disorder
- Asthma and allergic rhinitis
- Bronchitis
HOW MONTEGRESS XL TABLET WORKS
MONTEGRESS XL TABLET provides symptomatic relief from chronic obstructive pulmonary disorder, asthma, allergic rhinitis and bronchitis. Ambroxol provides relief from symptoms of nasal congestion, allergic cough and rhinorrhea by thinning and loosening the mucus in the nose, windpipe and lungs. Levocetirizine provides relief from itching, swelling and rashes by blocking the effects of a chemical messenger called histamine in the body (which is responsible for producing allergic reactions in the body). Montelukast prevents allergic rhinitis by blocking leukotriene (a chemical messenger) that results in the reduction of inflammation of the airways which provides relief to the symptoms associated with allergies.
DIRECTIONS FOR USE
Take MONTEGRESS XL TABLET as advised by your physician. Swallow MONTEGRESS XL TABLET with a glass of water and do not chew or crush the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
SIDE EFFECTS OF MONTEGRESS XL TABLET
COMMON
- sleeplessness
- skin rash
- vomiting
- abdominal pain
- excess sleepiness
- common cold
- weakness
- dry mouth
- sore throat
- fever
- cough
- nose bleed
- headache
- signs of upper respiratory infection such as common cold, sinusitis (inflammation of nasal sinus), pharyngitis (sore throat)
- diarrhea
- nausea
UNCOMMON
- dream abnormalities, including nightmares, trouble sleeping, sleepwalking, irritability, feeling anxious, restlessness
- drowsiness
- tingling or prickling sensation
- nosebleed
- indigestion
- bruising
- itching
- red, itchy skin
- joint pain
- muscle pain
- muscle cramps
- bedwetting (in children)
- tiredness
- swelling
RARE
- signs of behavior and mood related changes such as disturbance in attention, memory impairment, uncontrolled muscle movements
Stop taking MONTEGRESS XL TABLET and contact your doctor if you experience any of the following side effects:
- excess sleepiness
- weakness
- signs of decreased muscle strength such as delayed or slow movement, uncontrollable shaking or tremors, muscle twitching, muscle cramps
- signs of allergic reactions such as swelling of the face, eyelids, lips, tongue and/or throat which may cause difficulty in breathing or swallowing
- signs of behavior and mood related changes such as agitation including aggressive behavior or hostility, depression
- seizures
- increased bleeding tendency
- tremors
- sensing fast heartbeat
- signs of Churg-Strauss syndrome (a disorder marked by inflammation of blood vessel) such as tingling, prickling or numbness sensation in arms and legs, worsening of pulmonary symptoms (such as blue lip or skin, dizziness, chest pain) and/or rash
- low blood platelet counts
- swelling of the lungs
- severe skin reactions such as erythema multiforme that may occur without warning
- hepatitis (inflammation of the liver)
HOW TO MANAGE SIDE EFFECTS
Headache:
If MONTEGRESS XL TABLET causes headache, then take rest and drink plenty of fluids. Try to avoid drinking alcohol. Ask your doctor to recommend a painkiller. Headaches should usually go away after the first week of taking MONTEGRESS XL TABLET. If it lasts more than a week or severe, inform your doctor.
Dry mouth :
Try to drink plenty of cold water and sip on cold unsweetened drinks and use lip balm if your lips are dry. Brush your teeth twice a day and use mouthwash. Consult and inform your doctor if the symptom gets worse.
Nausea and Vomiting:
Try to take MONTEGRESS XL TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult and inform your doctor if the symptom gets worse.
Diarrhea:
Drink plenty of water and stay hydrated. Try to avoid taking any medicine on your own to treat diarrhea. Consult your doctor and inform them if the symptom gets worse.
Tiredness:
Try to take rest and drink plenty of fluids. Avoid or limit the consumption of alcohol. Try to take MONTEGRESS XL TABLET at a time when you can sit down (or lie down) when the symptoms are at their worst. Avoid driving or using tools or machinery until you feel well.
Indigestion:
Try to have smaller and more frequent meals and drink slowly. Reduce consumption of coffee, cola, tea or alcohol and lose weight if you are obese. Try to avoid smoking and don’t have rich, fatty or spicy foods. Consult your doctor and inform if the symptom does not improve.
WARNING & PRECAUTIONS
PREGNANCY
MONTEGRESS XL TABLET should be used with caution during pregnancy only if it is clearly necessary. Consult your doctor before taking MONTEGRESS XL TABLET.
BREASTFEEDING
MONTEGRESS XL TABLET is not recommended for use in breast-feeding women as it may pass through the breast milk. Consult your doctor before taking it.
DRIVING AND USING MACHINES
Do not drive or operate any machines as you may feel reduced mental alertness, dizziness and drowsiness after taking MONTEGRESS XL TABLET.
ALCOHOL
Avoid consumption of alcohol while taking MONTEGRESS XL TABLET because it may reduce mental alertness.
KIDNEY
MONTEGRESS XL TABLET should be used with caution in patients with kidney problems such as renal impairment. Consult your doctor before taking MONTEGRESS XL TABLET.
LIVER
MONTEGRESS XL TABLET should be used with caution in patients with hepatic impairment. Consult your doctor before taking MONTEGRESS XL TABLET.
ALLERGY
Do not take MONTEGRESS XL TABLET if you are allergic to Ambroxol, Levocetirizine, Montelukast or any of its ingredients of this medicine.
OTHERS
Use in Pediatrics:
MONTEGRESS XL TABLET is generally not recommended for use in children and adolescents (below 15 years). Consult your doctor before taking it.
Use in Geriatrics:
MONTEGRESS XL TABLET should be used with caution in elderly patients (aged 65 years or above). Consult your doctor before taking MONTEGRESS XL TABLET.
INTERACTIONS
A. Drug - Drug Interactions:
Before taking MONTEGRESS XL TABLET inform your doctor if you are taking any of the following medicine:
- antipyrine (used to decrease pain and inflammation)
- pseudoephedrine (medicine used to relieve nasal congestion caused by colds, allergies and hay fever)
- ketoconazole (used to treat fungal infections)
- theophylline (used to treat the symptoms of asthma, bronchitis and other lung diseases)
- cimetidine (medicine used to treat peptic ulcer and stomach acidity)
- amoxicillin, cefuroxime, erythromycin, azithromycin (medicines used to treat bacterial infections)
- ritonavir (used to treat HIV)
- acetyl-salicylic acid (used for mild to moderate pain and to treat fever)
- medicines used to relieve pain, reduce inflammation and fever (Ex. ibuprofen, naproxen, diclofenac)
- phenobarbital, phenytoin (used for treatment of epilepsy)
- rifampicin (medicine used to treat tuberculosis and other infections)
- gemfibrozil (used for treatment of high cholesterol)
Overdosage:
If you or anyone else accidentally takes too much of MONTEGRESS XL TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are drowsiness, abdominal pain, sleepiness, thirst, headache, vomiting and hyperactivity.
SYNOPSIS
| Drug | : | Ambroxol, Levocetirizine, Montelukast |
| Pharmacological Category | : | Mucolytics, Antihistamines, Leukotriene receptor Antagonists |
| Therapeutic Indication | : | Chronic obstructive pulmonary disorder, Asthma, Allergic rhinitis, Bronchitis |
| Dosage Forms | : | Tablet, Capsule, Syrup |
MORE INFORMATION
- Keep the medicine out of reach in children
- Store MONTEGRESS XL TABLET at room temperature
FAQs ABOUT MONTEGRESS XL TABLET
Q: What MONTEGRESS XL TABLET is used for?
A: MONTEGRESS XL TABLET is used to treat chronic obstructive pulmonary disorder (inflammatory lung disease), asthma and allergic rhinitis which is also used to treat bronchitis (viral lung disease).
Q: Who should avoid taking MONTEGRESS XL TABLET?
A: MONTEGRESS XL TABLET is not recommended for use in patients allergic to Ambroxol, Levocetirizine or Montelukast and recommended for use in breastfeeding women and in children and adolescents (below 15 years of age).
Q: What are the side effects of MONTEGRESS XL TABLET?
A: The most common side effects of taking MONTEGRESS XL TABLET are sleeplessness, skin rash, vomiting, abdominal pain, excess sleepiness, common cold and weakness. Consult and inform your doctor if any of these side effects gets worse.
Q: What happens if you take more MONTEGRESS XL TABLET than your required dose?
A: If you or anyone else accidentally takes too much of MONTEGRESS XL TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are drowsiness, abdominal pain, sleepiness, thirst, headache, vomiting and hyperactivity in adults.
Q: Can MONTEGRESS XL TABLET be taken by pregnant or breastfeeding women?
A: MONTEGRESS XL TABLET should be used with caution in pregnant women and recommended in breastfeeding women since it may pass through mother’s milk. Consult your doctor before taking this medicine.
REFERENCES
1. KD. Tripathi. Histamine & Antihistaminics and Drugs for Cough and Bronchial Asthma. Seventh edition, 2013. Page – 167, 219 & 228.
2. Ahmad Kantar, Ludger Klimek, Dorotheea Cazan, Annette Sperl, Ulrike Sent and Margarida Mesquita. An overview of efficacy and safety of ambroxol for the treatment of acute and chronic respiratory diseases with a special regard to children. NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. [Revised in March 2020] [Accessed on 16th June 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137760/
3. UCB, Inc. U.S. Food & Drug Administration. [Revised in January 2008] [Accessed on 16th June 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/022064s009lbl.pdf
4. La Renon Healthcare Pvt Ltd. Montegress- XL. [Revised in 2018] [Accessed on 16th June 2022] https://www.larenon.com/wp-content/uploads/2019/01/12.-MONTEGRESS-XL-LBL-FINAL.pdf
5. Amarox Limited. Electronic medicines compendium (EMC). [Revised in November 2020] [Accessed on 16th June 2022] https://www.medicines.org.uk/emc/files/pil.13555.pdf
USEFUL DIAGNOSTIC TESTS
- Sputum test
AUTHOR DETAILS
Written By Dr. Janet.C, Pharm.D
Last updated on 21 Jan 2023 | 06:03 PM(IST)
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